Andrew C Michmerhuizen, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5101016844 Issued in MI

Practice address

1919 Boston St SE
Grand Rapids, MI 49506-4160

Phone

(616) 252-7000

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Kansas City College of Medicine and Surgery, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Certified Emergency Medicine Specialists PCGroup PAC ID 6204802895, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Certified Emergency Medicine Specialists, PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wyoming, MI
  • NPI 1104985001
  Medicare reassignment Care Compare group
• Metropolitan Hospital

  dba Metro Health Hospital

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1811937519
  Medicare reassignment
• Metropolitan Hospital

  dba Metro Health - University of Michigan Health

  • Urgent Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1720590961
  NPD
• Hastings Emergency Physicians PLC

  • Emergency Medicine Physician
  • Hastings, MI
  • NPI 1699709360
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metropolitan Hospital

  dba Metro Health Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326266404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 MISTY RDG SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BOSTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064160",
            "telephone_number": "616-252-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHMERHUIZEN",
        "first_name": "ANDREW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101016844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Progressive Health Grand Rapids
• Michigan Reproductive and Ivf Cener, PC
• Michigan Sleep Network PC
• Michigan Street Optical
• Michigan Urological Clinic
• Marley Mickel
• Avery Mickelson
• Bruce A Mickelson, DDS
• Hope Louise Mickelson, NP
• Megan O Middlemiss

• Emergency Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.